CPT® Code 0845T

Add-On Code

1. Indications

The procedure associated with CPT® Code 0845T is indicated for the digitization of glass microscope slides in the context of immunofluorescence. This procedure is typically performed when there is a need to analyze tissue specimens, such as skin biopsies, using immunofluorescence techniques. The indications for this procedure may include, but are not limited to, the following:

• Skin Biopsy Specimens The digitization is often performed on skin biopsy specimens to facilitate the examination of cellular and tissue structures using immunofluorescence.
• Remote Pathology Consultations The need for remote analysis by pathologists who may not be physically present at the location of the specimen.
• Enhanced Diagnostic Accuracy The use of computer algorithms to assist in the pathologic diagnosis, which may improve diagnostic accuracy compared to traditional methods.

2. Procedure

The procedure for CPT® Code 0845T involves several key steps that ensure the effective digitization of glass microscope slides for immunofluorescence. Each step is crucial for achieving high-quality digital images that can be utilized for further analysis.

• Step 1: Preparation of the Specimen The initial step involves preparing the glass microscope slides that contain the tissue specimens. This may include ensuring that the specimens are properly stained with the appropriate immunofluorescence antibody for accurate visualization.
• Step 2: Digitization Process Once the slides are prepared, they are placed into a digital scanner designed for microscope slides. The scanner captures high-resolution images of the slides, converting them into a digital format that can be stored and accessed electronically.
• Step 3: Storage of Digital Images After digitization, the images are stored on a local computer server or within a cloud-based archive. This storage method allows for easy retrieval and sharing of the images among healthcare professionals.
• Step 4: Remote Examination The digitized images can then be examined remotely by pathologists or other medical professionals. This step is essential for facilitating consultations and collaborative diagnoses, especially when specialists are not available on-site.
• Step 5: Application of Computer Algorithms In some cases, computer algorithms may be employed to analyze the digitized images further. This technology can assist in identifying patterns or anomalies that may be indicative of specific pathologies.

3. Post-Procedure

Post-procedure care following the digitization of glass microscope slides for immunofluorescence primarily involves the management and interpretation of the digital images. Once the slides have been digitized and stored, healthcare professionals can access the images for review and diagnosis. It is important to ensure that the digital storage system is secure and that access is limited to authorized personnel to maintain patient confidentiality and data integrity. Additionally, any findings from the digital examination should be documented appropriately in the patient's medical record, and follow-up actions should be determined based on the results of the immunofluorescence analysis.